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Hydrogel-based joint repair system and method

a joint repair and hydrogel technology, applied in the field of joint repair systems and methods, can solve the problems of presenting an individual with physical limitations, unclear management, and difficulty in managing chronic back pain, so as to reduce the risk of infection and spine trauma, reduce the likelihood of complications, and reduce the recovery time of patients

Active Publication Date: 2008-01-24
SURMODICS INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present invention provides methods and systems for treating problems associated with orthopedic joints by using a pillow-like artificial article that can be inserted into the joint space. The pillow is made of a water-permeable casing and a hydrogel-forming material that is delivered to the joint space in a minimally invasive way. The hydrogel-forming material can be a single polymer component or a combination of two polymers that provide strength and water retention properties to the hydrogel. The system can be used to treat intervertebral joints and can provide improved function and reduced complications compared to current methods.

Problems solved by technology

Significant pain can be associated with dysfunction joints and can present an individual with physical limitations.
The management of chronic back pain remains challenging even in view of currently available operative and non-operative techniques.
However, these techniques remain controversial and the results remain unclear.
While artificial disc replacement is viewed as a distinct improvement over techniques such as spine fusion, many replacement processes are particularly invasive.
This may increase the risk of complications, such as infection and spine trauma associated with the insertion of the disc.
Furthermore, these procedures may require extensive hospitalization and therapy following the procedure.
Given this, these more invasive procedures are only used in more serious cases of spine problems.
In addition to issues of invasiveness, many disc replacement techniques involve the use of biomaterials that are not ideally suited as replacement materials for a normal intervertebral disc.
Currently available systems are not able to sufficiently mimic these properties of a normal intervertebral disc.

Method used

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  • Hydrogel-based joint repair system and method
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  • Hydrogel-based joint repair system and method

Examples

Experimental program
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Effect test

example 1

Synthesis of Acrylated Hyaluronic Acid (HA-Acrylate)

[0156] Two grams hyaluronic acid (Lifecore Biomedical, Chaska, Minn.) were dissolved in 100 ml of dry formamide. To this solution were added 1.0 g (9.9 mmol) of TEA and 4.0 g (31 mmol) of glycidyl acrylate. The reaction mixture was stirred at 37° C. for 72 hours. After exhaustive dialysis against deionized water using 12-14 k MWCO dialysis tubing, the product (2.89 grams) was isolated by lyophilization.

example 2

Preparation of Trimethylolpropane Ethoxylate (20 / 3 EO / OH) Triacrylate (PEG-Triacrylate)

[0157] The polyethyleneglycol-triol (PEG-triol; 100.0 g, 98.6 mmoles, Aldrich Chemical Company, Inc., Milwaukee, Wis.) was dissolved with stirring in toluene (200 mLs) and refluxed for one hour. The PEG-triol solution was allowed to cool to approximately 80° C. At this time 4-methoxyphenol (MEHQ; 50 mg, 0.403 mmoles, J. T. Baker, Phillipsburg, N.J.), acrylic acid (42.7 g, 0.592 moles, J. T. Baker, Phillipsburg, N.J.), and sulfuric acid (10 mLs, 0.188 moles, Aldrich Chemical Company, Inc., Milwaukee, Wis.) were added with stirring to the reaction solution. The reaction solution was heated to reflux. The reaction was allowed to progress until about 6.0 mLs of water was produced and collected via a Dean & Stark receiver for approximately one hour. The reaction mixture was allowed to cool to 50° C. and poured into a solution of sodium bicarbonate (270 g in 2.5 liters of deionized water) with stirring...

example 3

Formation of a HA-Acrylate / PEG-Triacrylate Hydrogel Using REDOX Chemistry

[0159] Two solutions were prepared. Solution #1 was prepared as follows: 100 mg of HA-acrylate as prepared in Example 1 was placed in an 8 mL vial. To the MD-acrylate was added 15 mg ferrous ascorbate (Sigma), 500 μL PEG-triacrylate (prepared as described in Example 2) and 500 μL deionized water. Solution #2 was prepared as follows: 100 mg of HA-acrylate (Example 1) was placed in a second 8 mL vial. To this HA-acrylate was added 80 μL hydrogen peroxide (Sigma), 500 μL PEG-triacrylate, and 500 uL 0.1 M acetate buffer (pH 5.5).

[0160] 50 uL of Solution #1 was added to a glass slide. 50 μL of solution #2 was added to Solution #1 with slight mixing. After mixing for 2 seconds, the mixture polymerized and formed a semi-firm gel having elastomeric properties.

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Abstract

The invention provides a system and method for treating an orthopedic condition using a hydrogel-forming composition, which forms a hydrogel in situ at a target location and at least bio-mechanically treats the condition. The invention also provides a hydrogel forming composition designed to form a hydrogel with desirable biocompatible and biomechanical properties. In some aspects the hydrogel is formed in a water-permeable casing, which is delivered to an orthopedic joint in a minimally invasive manner. In particular, the system and method can be used for intervertebral disc replacement or repair.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS [0001] The present non-provisional patent application claims priority under 35 USC § 119(e) from United States Provisional Patent Application having Ser. No. 60 / 816,131, filed on Jun. 23, 2006, and titled HYDROGEL-BASED JOINT REPAIR SYSTEM AND METHOD; and United States Provisional Patent Application having Ser. No. 60 / 925,275, filed on Apr. 19, 2007, and titled BIODEGRADABLE MATRIX MATERIALS; wherein the entirety of said provisional patent applications are incorporated herein by reference.FIELD OF THE INVENTION [0002] The invention relates to systems and methods for the treatment of medical conditions associated with joints. The invention is directed to a hydrogel-forming composition, and a system including the composition and a casing for containing the hydrogel. The system can be used in a minimally invasive method for treating a joint. BACKGROUND OF THE INVENTION [0003] Movement within the musculoskeletal system is dependent upon functional...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61F2/44
CPCA61F2/441A61F2/4611A61L2430/38A61L27/52A61L27/20A61L27/18A61L27/16A61F2002/30075A61F2002/3008A61F2002/30291A61F2002/444A61F2002/4627A61F2210/0061A61F2230/0091A61F2250/0098C08L33/08C08L71/02C08L5/08
Inventor CHUDZIK, STEPHEN J.
Owner SURMODICS INC
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